TY - JOUR
T1 - Clinical translational research hits the road
T2 - RCT of breastfeeding promotion interventions in routine prenatal care
AU - Bonuck, Karen A.
AU - Lischewski, Jennifer
AU - Brittner, Mindy
N1 - Funding Information:
This work was supported by the National Institute of Child Health and Human Development grant R01 HD04976301A2 (Dr. Bonuck, PI), and by the National Center on Minority Health and Health Disparities grant 1P60 MD 000516-05 (Dr. H. Strelnick, PI).
PY - 2009/9
Y1 - 2009/9
N2 - Translating evidence-based research into practice requires data from clinical trials in real world settings. This paper presents "lessons learned" from the implementation of an RCT of breastfeeding promotion interventions at two busy, urban, prenatal care sites. Data were obtained via direct observations, qualitative interviews, and study statistics. Primary challenges include: time and space burdens, "research vs. service" mission conflict, and the provider learning curve for conducting interventions. Primary facilitators include: researcher presence for enhancing rapport with participants and staff, site staff labeling of both the research interview and intervention as "value added time," and the ability of research staff to assist the clinic beyond the scope of the clinical trial. Specific suggestions are given for building collaborative bonds between the research team, clinicians, administrators, and staff in busy urban practices.
AB - Translating evidence-based research into practice requires data from clinical trials in real world settings. This paper presents "lessons learned" from the implementation of an RCT of breastfeeding promotion interventions at two busy, urban, prenatal care sites. Data were obtained via direct observations, qualitative interviews, and study statistics. Primary challenges include: time and space burdens, "research vs. service" mission conflict, and the provider learning curve for conducting interventions. Primary facilitators include: researcher presence for enhancing rapport with participants and staff, site staff labeling of both the research interview and intervention as "value added time," and the ability of research staff to assist the clinic beyond the scope of the clinical trial. Specific suggestions are given for building collaborative bonds between the research team, clinicians, administrators, and staff in busy urban practices.
KW - Breastfeeding
KW - Health promotion
KW - Randomized controlled trial
KW - Routine care
KW - Translational research
UR - http://www.scopus.com/inward/record.url?scp=68349086909&partnerID=8YFLogxK
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U2 - 10.1016/j.cct.2009.05.005
DO - 10.1016/j.cct.2009.05.005
M3 - Article
C2 - 19523539
AN - SCOPUS:68349086909
SN - 1551-7144
VL - 30
SP - 419
EP - 426
JO - Contemporary Clinical Trials
JF - Contemporary Clinical Trials
IS - 5
ER -